Provider Demographics
NPI:1871214619
Name:CHELSEA WELLNESS AND PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:CHELSEA WELLNESS AND PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:PYATIGORSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-721-6281
Mailing Address - Street 1:121 BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901
Mailing Address - Country:US
Mailing Address - Phone:781-581-6333
Mailing Address - Fax:781-593-9093
Practice Address - Street 1:70 EVERETT AVENUE
Practice Address - Street 2:UNIT #5.5
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150
Practice Address - Country:US
Practice Address - Phone:781-581-6333
Practice Address - Fax:781-593-9093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy